流行率,促成因素和干预措施,以减少门诊和门诊设置中的药物错误:系统性审查
Lina Naseralallah1, Derek Stewart2, Malcom Price3,4
1School of Pharmacy, College of Medical and Dental Science, Institute of Clinical Sciences, Sir Robert Aitken Institute for Medical Research, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
药物错误在门诊环境中很常见,处方和剂量错误是最常见的. 未来的研究需要高质量的设计和系统级干预措施来提高患者安全.
科学领域:
- 患者安全 患者安全
- 药理学 药理学是指药理学的学科.
- 医疗保健管理的管理
背景情况:
- 药物错误对患者安全构成重大威胁.
- 门诊和门诊环境改善了医疗保健的获取,但与住院环境相比,对药物错误的研究较少.
研究的目的:
- 系统地审查在门诊和门诊环境中关于药物错误的文献.
- 为了确定药物错误的流行,性质,促成因素和干预措施.
主要方法:
- 从2011年到2021年对Medline,Embase,CINAHL和谷歌学者进行了系统的审查.
- 包含的研究的质量评估.
- 使用理性事故因果关系模型,合成了导致因素.
主要成果:
- 审查了24篇文章,表明药物错误影响了门诊机构处方药物的23-92%.
- 处方错误 (高达91%) 和剂量错误 (高达41%) 是最常见的.
- 不充分的知识 (潜伏条件) 和积极的失败是关键的因素.
结论:
- 药物错误,特别是处方和剂量错误,在门诊环境中很常见.
- 干预研究质量不佳;未来的研究需要强大的设计和行为理论.
- 建议的干预措施包括系统层面的策略,药剂师整合,健康IT和教育.
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